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Organization
ST. GEORGE MEDICAL PRACTICE, INC.
Active
Organization
ST. GEORGE MEDICAL PRACTICE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HEBA L MIKHAIL M.D. (PRESIDENT)
(330) 652-3000
Entity
Organization
Contact information
Practice address
1254 YOUNGSTOWN WARREN RD, SUITE 3 A, NILES, OH 44446-4651
(330) 652-3000
Mailing address
1254 YOUNGSTOWN WARREN RD, SUITE 3 A, NILES, OH 44446-4651
(330) 652-3000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
10/16/2006
Last updated
11/17/2010
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